Individualised Homoeopathy in the Treatment of Onycholysis: An Evidence-Based Clinical Case Report

2021 ◽  
Vol 34 (03) ◽  
pp. 227-234
Author(s):  
Dhiraj Debnath ◽  
Abhiram Banerjee ◽  
Md Mostafijur Rahaman ◽  
Gurudev Choubey

Abstract Introduction Onycholysis is a chronic nail disorder characterised by the progressive separation of the nail plate from the underlying nail bed. Apart from causing pain and discomfort, it affects the quality of life of an individual due to its visualised cosmetic appearance. Case Summary A 45-year-old female presented with complete loss of nail plate of the left middle finger for 1 month. At the first visit, homoeopathic medicine Tuberculinum bovinum was prescribed and the patient was followed up periodically for 4 months. A series of photographs captured at the first visit and in subsequent visits objectively document the gradual regrowth of her nail plate. Various aspects of her subjective improvement were documented by three validated outcome measurement scales. The patient herself assessed that, after 4 months of follow-up, she is ‘back to normal’ for her main complaint as well as for the overall well-being, which is documented as a +4 score in ‘Outcome in Relation to Impact on Daily Living’ (ORIDL) scale. The Dermatology Life Quality Index (DLQI) score was reduced from 20 at the first visit to 1 after 4 months of treatment. Modified Naranjo Criteria for Homeopathy (MONARCH) score recorded at the final visit (+8 in ‘-6 to +13’ scale) is suggestive of a high likelihood that the improvement in the patient can be attributed to the homoeopathic treatment provided. Conclusion This clinical case report is presented here to critically document the effect of individualised homoeopathic treatment in onycholysis within a plausible timeframe.

RSBO ◽  
2019 ◽  
Vol 16 (1) ◽  
pp. 62
Author(s):  
Jeferson Luis de Oliveira Stroparo ◽  
Fabrício Guimarães Rodrigues ◽  
Moira Pedroso Leão ◽  
Dilcele Silva Moreira Dziedzic ◽  
João César Zielak

Introduction: Rehabilitation with the use of overlay-type removable prostheses is indicated in cases of more severe occlusal dysfunction. This type of treatment meets the need for more immediate results, providing aesthetic improvement while the rehabilitation work is being done, while promoting the gradual rehabilitation of occlusal function, re-adjusting the intermaxillary relationship. In addition, the patient can anticipate the final result of the treatment beforethe definitive prosthesis is made. Objective: To show a clinical case of planning and execution of removable overlays. Case report: JCF patient had occlusal dysfunction and presented as main complaint the aesthetic and functional deficiency. He used a removable partial denture (PPR) only on the upper arch. The existing prosthesis did not present stability due to the loss of some dental elements, pillars of the PPR. Two overlays (upper and lower) were indicated because the patient had good periodontal conditions in the remaining dentalelements that were in a favorable position. Necessary exodontia, adequacy of the buccal environment with sub and supragingival scaling and the fabrication of overlays were performed. Conclusion: The use of temporary overlays can provide the necessary time for the patient to adapt to the new occlusal conformation in the period in which the restorations and definitive prostheses are expected to be performed. The use of overlays presented a satisfactoryresult for the proposed treatment, since it promoted the functional rehabilitation, restored aesthetic, even temporarily, and motivated the patient to continue the treatment. According to the patient, there were significant improvements in chewing quality and self-esteem.


Author(s):  
Paola Mitcella Vigil Morales

Resumen<br />Los torus mandibulares son prominencias osteógenas benignas (no cancerosas) únicas o múltiples que se localizan adheridas a la tabla ósea lingual por encima de la línea milohioidea, específicamente a nivel del área de caninos, premolares y molares inferiores. Estos, pueden alterar la oclusión y el bienestar del paciente si no son abordados a tiempo. Con este caso, buscamos proveer información sobre el tratamiento correcto de los torus mandibulares cuando pensamos rehabilitar protésicamente a un paciente.<br />Paciente masculino de 72 años de edad se presenta a la Clínica Dental Domingo Amat de la Facultad de Odontología de la Universidad de Panamá, por deseos de mejorar su estética dental y facial, observamos torus mandibulares multilobulados bilaterales en el examen clínico intrabucal y se procede a realizar una cirugía ósea para su remoción total. El tratamiento quirúrgico de los torus mandibulares va a depender del fin protésico que planifiquemos y de cómo estos afecten el bienestar del paciente en general.<br /><br />Abstract<br />The torus mandibularis are benign osteogenic prominences (non-cancerous) unique or multiple that are located adhered to the lingual bone table above the mylohyoid line, specifically at the lower canines, premolars and molars area. They can alter the occlusion and well-being of the patient. With this case, we seek to provide information on the correct treatment of the torus mandibularis when we plan to rehabilitate a patient with prosthesis.<br />Year-old male patient introduces himself to the Domingo Amat Dental Clinic of the Faculty of Dentistry of the University of Panama to improve his dental and facial aesthetic; we observed bilateral multilobed torus mandibularis in the intraoral examination so we proceed to perform a bone surgery for total removal of them. The surgical treatment of the torus mandibularis will depend on the prosthetic purposes we plan to outcome and also how do they affect the well- being of the patient.<br /><br />


2014 ◽  
Vol 45 (S 01) ◽  
Author(s):  
L. Voges ◽  
G. Stettner ◽  
D. Weise ◽  
K. Brockmann ◽  
J. Gärtner ◽  
...  

2020 ◽  
pp. 33-38
Author(s):  
E. Yu. Gan ◽  
L. P. Evstigneeva

Purpose of the study. Assessing the association between the life quality of patients with Sjogren’s Disease and ongoing therapy with various disease-modifying antirheumatic drugs.Material and methods. The study was conducted on the basis of the regional rheumatology center of the consultative diagnostic clinic of the Sverdlovsk Regional Clinical Hospital No. 1. This work is based on the results of a simultaneous study of 74 patients with primary Sjogren’s Disease (SD), distributed in three comparison groups receiving various disease-modifying antirheumatic drugs chlorambucil, methotrexate and hydroxychloroquine. The diagnosis of SD was carried out according to European-American criteria AECGC (2002) [18]. In order to analyze the quality of life of patients with SD, the 36-Item Short Form Health Survey (SF‑36) was used. Statistical data processing was carried out using Statistica 7.0 program.Results. Assessment of the quality of life of patients with SD, which is an integrative criterion of human health and well-being, revealed the absence of statistically significant differences (p > 0.05) on eight scales and two health components of the SF‑36 questionnaire in the analyzed groups that differ in the treatment of disease-modifying antirheumatic drugs chlorambucil, methotrexate and hydroxychloroquine.Conclusions. The obtained data indicate an equivalent quality of life in SD patients treated with different disease-modifying antirheumatic drugs methotrexate, chlorambucil and hydroxychloroquine, and therefore hydroxychloroquine can be considered as an alternative basic therapy in patients with SD with certain limitations and contraindications methotrexate and chlorambucil.


2018 ◽  
Author(s):  
Tatiana Tarasova ◽  
Alexander Lutsenko ◽  
Elena Przhiyalkovskaya ◽  
Ekaterina Pigarova ◽  
Larisa Dzeranova ◽  
...  
Keyword(s):  

2012 ◽  
Vol 2 (5) ◽  
pp. 415-417
Author(s):  
Dr. Bansi M Bhusari ◽  
◽  
Dr. Shruti Sura ◽  
Dr. Kalpan Desai ◽  
Dr. Ridhima Mahajan
Keyword(s):  

Author(s):  
И.А. Синельникова ◽  
И.В. Сопрунова ◽  
О.П. Николаева

В статье представлено описание семейного случая миотонической дистрофии Россолимо-Штейнерта-Куршмана-Баттена. Диагноз подтвержден в результате ДНК-диагностики: выявлено увеличенное число копий CTG-повтора гена DMPK, ответственного за развитие миотонической дистрофии. A family case report of Rossolimo-Steinert-Curschmann myotonic dystrophy is presented. An increased number of copies of CTG-repeats of the DMPK gene responsible for the development of MD, i.e., the diagnosis was confirmed by molecular genetic method.


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